Noticing Disagreement Behavioral Messages;Dementia Care to Avoid BPSD in Resident-staff Interaction Mio Ito 1 , Masami Miyamoto 2 , Ryutaro Takahashi 1 1Human Care Research Team, Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology 2Graduate School of Health Sciences, Tokyo Medical and Dental University Keyword: 認知症ケア , BPSD , 不同意メッセージ , dementia care , BPSD , Disagreement behavioral message pp.5-12
Published Date 2011/1/15
  • Abstract
  • Reference

 BPSD (behavioral and psychological symptoms of dementia) can manifest as a result of many intertwining factors in the elderly with dementia, and it is not at all rare that it manifests in response to the interaction with caregivers. We suspected some kind of behavioral signs may be seen in the elderly with dementia after interaction with caregiver. And we named these behaviors such as anxiety, confusion, restlessness, and giving-up as Disagreement behavioral messages. The characteristics of Disagreement behavioral message were identified and the reactions of caregivers that resulted avoiding BPSD when Disagreement behavioral message occurred were examined. Five disagreement behavioral messages; obeying caregiver, apologizing to caregiver, blaming it on something/someone, shutting-down, and indignation were identified. Behaviors such as obeying caregiver, apologizing caregiver, and blaming it on something/someone are difficult to be read as refusal behaviors, and they were often undetected and let to result in BPSD. BPSD were avoided when those Disagreement behavioral messages were detected by caregivers in early stage of interaction, and care givers shifted interaction approach to “change direction of care,” “wait and see mood changes,” and “suggest excuse.”

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